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十二招避免医学教育研究中招募学生为研究对象时的伦理陷阱

Twelve tips to avoid ethical pitfalls when recruiting students as subjects in medical education research.

机构信息

a Department of Family and Emergency Medicine , Université de Sherbrooke , Sherbrooke , Canada.

b Department of Surgery , Université de Sherbrooke , Sherbrooke , Canada.

出版信息

Med Teach. 2018 Jan;40(1):20-25. doi: 10.1080/0142159X.2017.1357805. Epub 2017 Jul 30.

DOI:10.1080/0142159X.2017.1357805
PMID:28758523
Abstract

Medical education research has unique characteristics that raise their own set of ethical issues, which differ significantly from those commonly found in clinical research. In contexts where researchers have a dual role as teachers, free consent to participate in research may be undermined and students' data must be kept confidential from faculty who play any role in their academic or professional path. Faculty members who recruit students as research subjects within their institution for education research should pay particular attention to ensure students' consent to participate is indeed free and continuous and that their privacy is adequately protected. A good understanding of ethical standards and of the appropriate strategies to fulfill them is essential to conduct ethical medical education research and to ensure ethics approval is obtained. These twelve tips draw from the Declaration of Helsinki, from the ICMJE recommendations and from the example of their application to medical education research in a Canadian and North American context. They aim to act as a reminder and as a guide to address the main ethical issues which should be given proper consideration when designing a study involving students as subjects for medical education research.

摘要

医学教育研究具有独特的特点,提出了自己的一系列伦理问题,这些问题与临床研究中常见的问题有很大的不同。在研究人员同时担任教师的情况下,自由同意参与研究可能会受到破坏,并且必须将学生的数据保密,以防教师在他们的学术或专业道路上扮演任何角色。在机构内招募学生作为教育研究对象的教师应该特别注意确保学生的同意参与是真正自由和持续的,并且他们的隐私得到充分保护。深入了解伦理标准和适当的策略来满足这些标准对于进行伦理医学教育研究和确保获得伦理批准至关重要。这十二个技巧源自《赫尔辛基宣言》、ICMJE 建议以及它们在加拿大和北美医学教育研究中的应用实例。其目的是作为提醒和指南,以解决在设计涉及学生作为医学教育研究对象的研究时应给予适当考虑的主要伦理问题。

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